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Arizona rates for HCPCS 0012M

Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 [CDK1], IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score for having urothelial carcinoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,513.56 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,380.38 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $660.69 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $794.33 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $457.09